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Omnipod pod changes

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I am working with my first omnipod patient. In the past I worked mainly with

Medtronic patients. For those of you who have gained experience with this

system, would taking a meal bolus and then immediately changing pod effect

absorption?? My patient decided on her own to bolus, change pod and then

eat. I asked her not to do this in the future as I was worried she may have

hypoglycemia if her meal got delayed with changing her pod.

Any insight will help.

Gwen ,RD,LDN,CDE

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I don't think it would affect the absorption, as long as she got the whole bolus

from the first pod before she changed to the 2nd pod. It only takes about 5

minutes to fill and change the pod; the length of time to deliver the bolus of

course would depend on the amount of insulin being given. What was her blood

sugar before she took the bolus? If it was relatively low, say less than 100

mg/dl, she could be at risk for hypoglycemia if it took 15+ minutes to change

the pod plus get the whole bolus, especially if she didn't eat until she was

done. If her blood sugar was elevated before she took the bolus, I would think

she would be OK, even considering the fact that the correction factor would be

added into it. Maybe her pod was beeping at her so much, because it was time to

change it, that she just didn't want to hear the noise while she was eating....?

Ginny Weale, MD, RD, LD, CDE, CPT

Omnipod Trainer

________________________________

To: rd-usa

Sent: Thu, March 24, 2011 10:23:08 PM

Subject: Omnipod pod changes

I am working with my first omnipod patient. In the past I worked mainly with

Medtronic patients. For those of you who have gained experience with this

system, would taking a meal bolus and then immediately changing pod effect

absorption?? My patient decided on her own to bolus, change pod and then

eat. I asked her not to do this in the future as I was worried she may have

hypoglycemia if her meal got delayed with changing her pod.

Any insight will help.

Gwen ,RD,LDN,CDE

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